CAJ | 학술논문

目的：探讨新生儿黄疸发生的相关因素，以采取相应的防治措施，改善新生儿黄疸的预后。方法选取2008年10月～2012年10月佛山市顺德区乐从医院收治的600例新生儿黄疸患儿的临床资料，分析其发病因素及进一步处理措施。结果围生期因素236例，母乳性因素115例，感染因素173例，新生儿ABO血型不合12例及原因不明64例；处理措施包括药物治疗、吸氧、停止母乳喂养、光照疗法、抗感染、营养支持、纠正水电解质及酸碱失衡等措施，处理后患儿血清胆红素水平较治疗前明显下降，差异有统计学意义（P＜0.05）；治愈517例，好转62例，无效21例，总有效率96.50%。结论新生儿黄疸病因复杂，发病率高，及早发现病因，并采用相应的处理措施是提高治愈率和改善患儿预后的关键。
목적：탐토신생인황달발생적상관인소，이채취상응적방치조시，개선신생인황달적예후。방법선취2008년10월～2012년10월불산시순덕구악종의원수치적600례신생인황달환인적림상자료，분석기발병인소급진일보처리조시。결과위생기인소236례，모유성인소115례，감염인소173례，신생인ABO혈형불합12례급원인불명64례；처리조시포괄약물치료、흡양、정지모유위양、광조요법、항감염、영양지지、규정수전해질급산감실형등조시，처리후환인혈청담홍소수평교치료전명현하강，차이유통계학의의（P＜0.05）；치유517례，호전62례，무효21례，총유효솔96.50%。결론신생인황달병인복잡，발병솔고，급조발현병인，병채용상응적처리조시시제고치유솔화개선환인예후적관건。
Objective To investigate the related factors, In order to take corresponding prevention measures, improve the prognosis of neonatal jaundice.Method From October 2008 to October 2012 in the hospital clinical data of 600 cases of neonatal jaundice were retrospectively analyzed, analyze its risk factors and treatment measures further.Results Perinatal factors, 236 cases, 115 cases of breast factors, infection factors 173 cases, 12cases of neonatal ABO incompatibility and 64 cases of unknown cause; Treatment measures including drug treatment, light therapy, oxygen therapy, stop breastfeeding, anti-infection and nutrition support, correcting water, electrolyte and acid-base imbalance, after treatment, children was significantly lower the serum bilirubin level, before and after treatment comparison difference has statistical significance (P<0.05), 517 cases cured, 62 cases,21 had no effect,total effective rate was 96.50%.Conclusion Neonatal jaundice is complex, high incidence, etiology of early detection, and adopt corresponding measures is the key to improve the cure rate and improving the prognosis of children with.